Left Ventricular Hypertrophy

Oct 13, 2025 by wbrum.org 128 views

The Relationship Between QRS Voltage and the Left Ventricular Ejection Fraction of Heart Failure Patients at Adam Malik Hajj Hospital Medan

Introduction

Heart failure is a serious health problem that affects millions of people worldwide, resulting in high mortality and morbidity rates. It is a condition where the heart is unable to pump enough blood to meet the body's needs, leading to various complications and decreased quality of life. Electrocardiographic examination (ECG) is a routine diagnostic tool used to assess heart function, particularly in patients with heart failure caused by coronary heart disease. One of the important markers in the ECG that can show the severity of heart failure is the low QRS (VQRS) voltage. This study aims to investigate the relationship between low VQRS voltage and the left ventricular ejection fraction (LVEF) in heart failure patients treated at Adam Malik Hajj General Hospital in Medan.

Background

Heart failure is a complex condition that can be caused by various factors, including coronary heart disease, high blood pressure, diabetes, and heart valve problems. The left ventricle is the main pumping chamber of the heart, and its function is critical in maintaining adequate blood circulation. The left ventricular ejection fraction (LVEF) is a measure of how effectively the left ventricle pumps blood throughout the body. A low LVEF indicates a decrease in heart function, which can be an indicator of the severity of heart failure.

Methods

This retrospective research used secondary data on medical records of heart failure patients treated at Adam Malik Hajj General Hospital in Medan from January 1 to December 31, 2014. A total of 65 patients met the inclusion and exclusion criteria in this study. Of the 40 patients with low VQRS, there were 28 patients with low LVEF (≤ 35%) and 12 patients with high LVEF (> 35%). The results of this study indicate a significant relationship between low VQRS and low LVEF (≤ 35%) with a value of P <0.001. This shows that low VQRS can be used as a simple predictor for assessing LVEF in heart failure patients.

Low QRS Voltage Mechanism

Low VQRS on ECG can be caused by several factors, including:

Left Ventricular Hypertrophy: Enlargement of the heart muscle in the left ventricle can cause changes in electric current patterns and decreased VQRS.
Myocardial Fibrosis: Scar tissue in the heart muscle can interfere with electrical conduction and cause low VQRS.
Constriction Pericarditis: Inflammation of the heart sac that limits the heart movement can suppress the left ventricle and cause a decrease in VQRS.

Low LVEF Significance

LVEF measures how effectively the left ventricle pumps blood throughout the body. Low LVEF shows a decrease in heart function and can be an indicator for assessing the severity of heart failure.

Research Benefits

This research provides important information about the relationship between low VQRS and LVEF in heart failure patients. This finding can help doctors in diagnosing and managing heart failure patients more effectively.

Conclusion

This study shows that low VQRS is an important marker for assessing LVEF in heart failure patients. The use of VQRS as a simple predictor can help in screening and management of heart failure patients in hospitals. Further research is needed to confirm these findings and to explore the potential applications of this study in clinical practice.

Recommendations

Based on the results of this study, the following recommendations are made:

Use of VQRS as a predictor: VQRS can be used as a simple predictor for assessing LVEF in heart failure patients.
Screening and management: The use of VQRS can help in screening and management of heart failure patients in hospitals.
Further research: Further research is needed to confirm these findings and to explore the potential applications of this study in clinical practice.

Limitations

This study has several limitations, including:

Retrospective design: The study used secondary data on medical records, which may not be representative of the current situation.
Small sample size: The sample size was relatively small, which may limit the generalizability of the findings.
Limited data: The study only used data from one hospital, which may not be representative of other hospitals.

Future Directions

Future research should aim to:

Confirm the findings: Confirm the findings of this study using a larger sample size and a prospective design.
Explore the potential applications: Explore the potential applications of this study in clinical practice, including the use of VQRS as a predictor for assessing LVEF in heart failure patients.
Investigate the mechanisms: Investigate the mechanisms underlying the relationship between low VQRS and LVEF in heart failure patients.
Frequently Asked Questions (FAQs) About the Relationship Between QRS Voltage and the Left Ventricular Ejection Fraction of Heart Failure Patients

Q: What is the significance of low QRS voltage in heart failure patients?

A: Low QRS voltage is a marker of heart failure that can indicate a decrease in heart function. It is a reliable indicator of the left ventricular ejection fraction (LVEF) in heart failure patients.

Q: What are the causes of low QRS voltage?

A: Low QRS voltage can be caused by several factors, including left ventricular hypertrophy, myocardial fibrosis, and constriction pericarditis.

Q: How does low LVEF affect heart function?

A: Low LVEF indicates a decrease in heart function, which can lead to various complications, including decreased quality of life, increased risk of heart failure, and even death.

Q: What is the relationship between low QRS voltage and low LVEF?

A: The results of this study indicate a significant relationship between low QRS voltage and low LVEF (≤ 35%) with a value of P <0.001. This shows that low QRS voltage can be used as a simple predictor for assessing LVEF in heart failure patients.

Q: How can low QRS voltage be used in clinical practice?

A: Low QRS voltage can be used as a simple predictor for assessing LVEF in heart failure patients. It can help doctors in diagnosing and managing heart failure patients more effectively.

Q: What are the limitations of this study?

A: This study has several limitations, including a retrospective design, small sample size, and limited data.

Q: What are the future directions for research?

A: Future research should aim to confirm the findings of this study using a larger sample size and a prospective design. It should also explore the potential applications of this study in clinical practice and investigate the mechanisms underlying the relationship between low QRS voltage and LVEF in heart failure patients.

Q: What are the implications of this study for heart failure patients?

A: This study provides important information about the relationship between low QRS voltage and LVEF in heart failure patients. It can help doctors in diagnosing and managing heart failure patients more effectively, which can lead to improved outcomes and quality of life for these patients.

Q: How can heart failure patients benefit from this study?

A: Heart failure patients can benefit from this study by having a better understanding of the relationship between low QRS voltage and LVEF. They can also benefit from the use of low QRS voltage as a simple predictor for assessing LVEF, which can help doctors in diagnosing and managing their condition more effectively.

Q: What are the next steps for this research?

A: The next steps for this research include confirming the findings of this study using a larger sample size and a prospective design. It should also explore the potential applications of this study in clinical practice and investigate the mechanisms underlying the relationship between low QRS voltage and LVEF in heart failure patients.

Q: How can healthcare providers use this study in their practice?

A: Healthcare providers can use this study by incorporating low QRS voltage as a simple predictor for assessing LVEF in heart failure patients. They can also use this study to inform their diagnosis and management of heart failure patients.

Q: What are the potential applications of this study in clinical practice?

A: The potential applications of this study in clinical practice include the use of low QRS voltage as a simple predictor for assessing LVEF in heart failure patients. It can also help doctors in diagnosing and managing heart failure patients more effectively, which can lead to improved outcomes and quality of life for these patients.